District 7010 Fellowship Application Form

Fellowship Application Form

If you have any questions or require assistance please contact Phyllis Winnington-Ingram, Membership Director - phyllis@winnington-ingram.com / 705-645-0754
IMPORTANT: Prior to completing your application please review the "District Guide To Creating New Fellowships". Scroll to view.
Contact Information (Individual completing application):
Name*

First NameLast Name
Rotary/Rotaract Club
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Proposed Fellowship Name *
"Rotary" may not be included.
Statement of Purpose. *

Check RI Fellowships for potential language.0/200
Yes (attached)No (pending)
Proposed Bylaws

Consistent with District 7010 Fellowship Policy. Sample ByLaws - https://rotary7010.org/documents/en-ca/91d5cd10-9dc7-4aa1-8f75-1f6a67daaec1/1
Cancelof
YesNo
Proposed Officers: (minimum of 3)
Officer 1: *
Officer 2: *
Officer 3: *
Officer 4:
Officer 5:
Proposed Online Presence:
Website*
FacebookInstagramOther
Signature*
Date*
Should be Empty: